Transcript Highlights:

• Uh, this is tasking Department of Education to uh expand their programming and I believe they're already
• 00:25:47.600> uh<00:25:47.760> expand<00:25:48.240> their<00:25:48.720> programming
• education to uh expand their programming education to uh expand their programming and<00:25:49.760

Bills: HB1974, HB1853, HB1973, HB1574, HB2619, HB1966, HB1643, HB1671, HB2558, HB1854, HB2173, HB1575, HB2229, HB1535, HB1978, HB2508, HB1549, HB2187, HB1550, HB1977, HB2314, HB1871, HB2319, HB1591, HB1858, HB1898, HB2372, HB1765, HB2012, HB1706, HB1962, HB1963, HB1975, HB2009, HB2083, HB2224, HB1877, HB1959, HB1626, HB1665, HB2488, HB2456, HB2548, HB2207, HB1832, HB2079, HB1985, HB1618, HB2486, HB2242, HB2045, HB1703, HB2236, HB2480, HB1976, HB2287, HB2288, HB1777, HB276, HB1660, HB1676, HB1605, HB1751, HB1967, HB2383, HB2340, HB1946, HB2268, HB1950, HB2156, HB2118, HB1859, HB1863, HB1996, HB2114, HB2423, HB2429, HB2475, HB2534, HB2545, HB1813, HB1941, HB2474, HB2583, HB1576, HB1886, HB1939, HB2540, HB2590, HB2000, HB2163, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1692

Keywords: HB1974, hearing loss, audiology, audiologist, hearing screening, hearing aids, cochlear implants, tele-audiology, communication access, assistive technology, speech-language pathology, deafness, hard of hearing, public health, kupuna, keiki, dementia, cognitive decline, fall prevention, State Health Planning and Development Agency

Transcript Highlights:

• I I serve as the H program Tulio.
• hemp program, and then our current hemp program at the department.
• So uh from 2018 pilot program.
• of the USDA program. of the USDA program.
• USDA hemp program. USDA hemp program.

Bills: HB1974, HB1853, HB1973, HB1574, HB2619, HB1966, HB1643, HB1671, HB2558, HB1854, HB2173, HB1575, HB2229, HB1535, HB1978, HB2508, HB1549, HB2187, HB1550, HB1977, HB2314, HB1871, HB2319, HB1591, HB1858, HB1898, HB2372, HB1765, HB2012, HB1706, HB1962, HB1963, HB1975, HB2009, HB2083, HB2224, HB1877, HB1959, HB1626, HB1665, HB2488, HB2456, HB2548, HB2207, HB1832, HB2079, HB1985, HB1618, HB2486, HB2242, HB2045, HB1703, HB2236, HB2480, HB1976, HB2287, HB2288, HB1777, HB276, HB1660, HB1676, HB1605, HB1751, HB1967, HB2383, HB2340, HB1946, HB2268, HB1950, HB2156, HB2118, HB1859, HB1863, HB1996, HB2114, HB2423, HB2429, HB2475, HB2534, HB2545, HB1813, HB1941, HB2474, HB2583, HB1576, HB1886, HB1939, HB2540, HB2590, HB2000, HB2163, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1692

Keywords: HB1974, hearing loss, audiology, audiologist, hearing screening, hearing aids, cochlear implants, tele-audiology, communication access, assistive technology, speech-language pathology, deafness, hard of hearing, public health, kupuna, keiki, dementia, cognitive decline, fall prevention, State Health Planning and Development Agency

Transcript Highlights:

• program. On line 295 is Senate File 928. program. On line 295 is Senate File 928.
• . program. program.
• Similar for the ombuds program. Similar for the ombuds person for foster youth.
• Similar for the ombuds program. Similar for the ombuds person for foster youth.
• and programming for the entire family. and programming for the entire family.

Keywords: 1187, senate, all

Transcript Highlights:

• For workers, participation in these programs can feel risky.
• The result is that these programs, which are aimed at identifying and addressing bias, could be undercut
• For workers, participation in these programs can feel risky.
• Now more than ever, as DEI programs face threats at the federal level, California must stay vigilant
• Not long ago, while researching benefits I might be entitled to, I learned about a program called Total

Summary: The committee heard several bills, with most drawing support after amendments or ongoing stakeholder negotiations. SB 29, by Senator Laird, would extend a sunset on the law allowing pain-and-suffering claims to survive a plaintiff’s death; supporters, including a family member describing a medical negligence case, labor groups, consumer advocates, and disability and elder organizations, argued it prevents defendants from running out the clock, while hospitals, medical groups, and business organizations warned of higher costs and added liability. After extensive debate about data collection, settlement reporting, and the impact on health care access, the bill passed to Appropriations on a divided vote. SB 294, by Senator Reyes and presented by Senator Laird, would require employers to notify a worker’s emergency contact if the worker is arrested or detained and would create a template to inform employees of state and federal labor rights. Labor and worker advocates said the bill would help workers understand and enforce their rights amid weakened federal enforcement; there was no opposition on file, and the bill passed unanimously to Appropriations. SB 697 would modernize water-rights adjudication by allowing the State Water Board to use technology instead of requiring in-person field investigations; with no opposition, it also passed unanimously. The committee also advanced SB 37 on attorney advertising, SB 645 on peremptory challenges in civil cases, SB 303 on bias-mitigation trainings in public workplaces, and SB 464 on expanding pay-data reporting for specified state workers. SB 37 drew support from consumer and legal groups but concerns from Walker Advertising about joint advertising; members said negotiations were ongoing, and the bill passed. SB 645 would extend anti-bias jury-selection rules to certain civil rights cases; criminal-defense and defense groups said they were close to agreement, and the bill passed. SB 303 and SB 464 were both amended to narrow scope and moved forward after several opponents shifted to neutral or removed opposition. The committee also approved a consent calendar of additional bills, all sent to Appropriations.

Transcript Highlights:

• <00:07:17.479> it<00:07:17.639> failed jobs in programming it failed jobs in programming
• Smaller programs like equity revenue and transition revenue..."
• "Or debt service or other NTC-based levy programs.
• <00:46:13.599> to Innovative academic programming to Innovative academic programming to students
• This ensured stable funding for student programs and staff.

Keywords: 1187, senate, all

Transcript Highlights:

• Law, is there any... ...him in foster care. Mr.
• It is associated with a sale subsequent to that or through foster care.
• So it's like a refer-a-friend program.
• So if, for example, a foster parent that lived recently in Texas wants to be a foster parent in Oklahoma
• And we don't have that authority in these camp programs.

Keywords: 1185, senate, all

Transcript Highlights:

• It's called a managed repair program.
• We look exhaustively at mitigation discount programs.
• So the, the, what we call the mandatory mitigation credit program or the 1802 program, we're working,
• But the 1802 program was Program. We've got a team working on a better name.
• And that's why we have the national flood program.

Summary: The subcommittee held its first meeting on homeowners property insurance, with members from both parties introducing themselves and repeatedly noting that insurance affordability, roof condition, claims handling, and storm recovery are top concerns for their districts. Chair Yeager said the meeting was intended as an educational discussion rather than a legislative debate, and introduced a panel that included Insurance Commissioner Mike Yaworski, consumer Chad Carr, agent Mary Catherine Lawler, insurer executive Melissa Burt DeVries, and policyholder attorney Chip Merlin. The panel and members discussed major cost drivers in Florida homeowners insurance, including inflation, home age, roof age, mitigation features, claims history, litigation costs, reinsurance, and the Florida Hurricane Catastrophe Fund. Commissioner Yaworski said underwriting has become more sophisticated and that litigation costs, reinsurance, and replacement-cost inflation all affect premiums; he also said litigation is down about 30% and average requested rate increases have fallen from about 22.1% in 2022 to 0.8% today. DeVries said age of home, replacement cost, roof age, and coverage choices can materially change premiums, and explained that reinsurance is a major expense passed through to consumers. Merlin emphasized transparency concerns, argued that insurers are increasingly individualizing risk, and said consumers often struggle with coverage limits, deductibles, and claim denials. Members asked about flood coverage, hurricane deductibles, managed repair programs, mitigation credits, new insurer capitalization, and whether savings from reforms are reaching consumers. Yaworski explained that flood is generally excluded from homeowners policies and covered separately, that hurricane deductibles are mandatory in Florida and usually around 5%, and that the office tracks savings from reforms through rate filings and insurer discussions. He said the state is updating mitigation discounts and monitoring new entrants closely for solvency and market conduct. Several members and panelists said recent reforms have helped reduce some abuses and litigation, but many consumers are still seeing higher premiums because replacement costs and reinsurance remain elevated. No votes or formal actions were taken.

Transcript Highlights:

• Travis County approved a childcare program last year.
• All right, Judge Foster, can you wrap this up for us, please? I sure can. Thank you.
• A year in unreimbursed property tax revenue that's exempted based on that program.
• For the communities that are eligible for state aid under the disabled property tax exemption program
• And then if you have debt you have to pay, if your voters have approved bond programs and you have debt

Bills: HB17, HB23, SB 10

Keywords: property tax, school funding, enrollment changes, inflation adjustment, tax rate notice, property tax exemption, ad valorem tax, Texas Tax Code, nonprofit corporation, charitable organization, educational nonprofit, scientific nonprofit, agriculture support, youth programs, community education, county population threshold, large county, local government revenue, leasehold interest, possessory interest

Transcript Highlights:

• If y'all aren't familiar, we are the statewide domestic violence coalition representing programs and
• Further, section 30,0002.00055 states that if a program operates solely for women, you can only bring
• I urge this committee to abandon this bill and prioritize resources to foster a culture of respective
• I promise to do my best to understand where you're coming from.
• So we promise to continue working with the chairman and this committee to ensure that any legislation

Bills: HB7, SB 8

Keywords: abortion, healthcare, jurisdiction, civil action, qui tam, prohibition, state law, sex designation, restroom access, civil penalties, private civil right of action, women's privacy

Transcript Highlights:

• We'll move on to our next topic: Foster care system. Now it's Representative Campbell.
• four conversations with fostering four conversations with fostering families<00:11:06.000> in
• You have another topic for us, the Blue Envelope Program?
• this type of legislation, this program this type of legislation, this program would<00:13:58.200
• Chairman, a little background just quickly on this: This is a national program, the Blue Envelope Program

Keywords: 916, all

Summary: The Judiciary Interim Committee met under time constraints and asked members to rank interim topics for a letter to Management Council. The committee then took brief public testimony on a series of proposed study topics, with no formal votes recorded in the transcript. Early testimony focused on landlord eviction rights, where speakers said the court eviction process is too slow, can worsen housing shortages, and leaves landlords unable to recover rent, fees, or damage costs. The foster care topic was presented as a request to examine whether the system gives too much weight to reunification and not enough to the child’s best interests, especially for younger children. A Blue Envelope Program proposal was also discussed; supporters said it would help law enforcement communicate with autistic or otherwise communication-challenged individuals during traffic stops and emergencies, and improve consistency statewide. The committee also heard a proposal to study Wyoming’s homicide-by-vehicle statute, with testimony from a constituent whose mother was killed by a repeat dangerous driver. Speakers argued the current law leaves a gap because prior DUIs, high-risk driving history, and other aggravating factors do not meaningfully affect charging unless intoxication or extreme conduct is present. Related testimony from Wyoming Pathways said the change should be a tool in the toolbox for prosecutors and could improve safety for pedestrians and drivers. Senator Cooper then raised campaign finance reform and dark money, urging a resolution asking Wyoming’s congressional delegation to seek a constitutional amendment to overturn Citizens United and restore state control over election spending transparency. Additional topics included a request from the Wyoming Livestock Board to review peace officer statutes so its investigators could act on felonies committed in their presence or prevent imminent bodily harm, while remaining within their current duties and certification. Representative Lee asked for review of non-disclosure agreements in public-private partnerships and executive sessions so the public can eventually understand how such agreements were used. Senator Pearson asked for interim consideration of shared custody amendments, saying fit parents should have a fair opportunity for shared parenting after separation. Representative Storer proposed revisiting DUI penalties, especially for refusal of chemical testing, arguing that refusal often prevents prosecution and that the law should impose treatment and license suspension consequences. The committee also heard a request to review statutes involving political parties, and the state court administrator asked for interim study of remote public access to court records, citing ongoing automation efforts, privacy concerns, and funding needs.

Transcript Highlights:

• Resources development to process program Resources development to process program applications<00
• then to follow through on the program then to follow through on the program internship<00:10:42.959
• <00:27:23.760> be really designed to help the program be really designed to help the program
• <00:27:57.559> the<00:27:57.720> program added cost for the program the program added
• <00:36:45.760> further to Foster further to Foster further discussion<00:36:47.800> as<

Keywords: 912, senate, all

Summary: The Committee on Labor and Technology heard testimony on several measures. Senate Bill 327, relating to internships, drew broad support from the Department of Education, Department of Labor and Industrial Relations, University of Hawaiʻi, DBEDT, P20, HFIA, Hawaiʻi Electric, the Hawaii Primary Care Association, and the Chamber of Commerce, with suggested amendments to clarify the internship purpose, limit some responsibilities to the state executive branch, and address staffing and reporting details. The committee later recommended passing SB 327 with amendments, including changes to the internship language, private-sector references, work-hour limits, reporting requirements, and a deferred effective date for further discussion. Senate Bill 716, relating to the Hawaii Employment Security Law, received support from the Department of Labor and Industrial Relations as a step toward modernizing unemployment insurance, and the committee recommended passage with housekeeping and technical amendments. Senate Bill 717, relating to collective bargaining, would allow certain exempt employees to grieve suspensions or discharges. The City and County of Honolulu and the Department of Human Resources Development said the issue should remain a collective bargaining matter, while HGEA and United Public Workers supported the bill. DHRD opposed changing the statute and pointed to existing internal complaint procedures. The committee nevertheless recommended passing SB 717 with amendments and deferred the date for further discussion. Senate Bill 742, relating to data sharing, would create a data sharing and governance working group within the Office of Enterprise Technology Services and include appropriations. OETS, the Executive Office on Early Learning, the University of Hawaiʻi, DOE, Hawaiʻi Kids Can, Hawaiʻi P-20, and others supported the measure, with OETS estimating a total cost of about $2.64 million, including software, consulting, and six FTE. The committee recommended passage with amendments and a deferred effective date, and noted the budget request in the committee report. The final measure, Senate Bill 855, relating to the Hawaii Retirement Savings Act, would shift the program from opt-in to opt-out and appropriate startup funds; former Senator Brian Taniguchi and AARP supported it, while Retail Merchants of Hawaiʻi and the Tax Foundation of Hawaiʻi opposed it over costs and burdens on small businesses and concerns about adding mandates before the program is implemented. The committee recessed briefly on a proposed AARP amendment, then returned and indicated support for the opt-out language before taking the bill up for decision-making.

Transcript Highlights:

• <00:40:06.480> and who may be paying into the program and who may be paying into the program
• employer friendly paid leave programs employer friendly paid leave programs but<00:40:20.920>
• costs Beyond negotiations programming costs Beyond negotiations programming for<00:42:37.839>
• she was talking about this leave program she was talking about this program<01:26:25.600> uh<
• in a private program because of how small they are.

Bills: HF1976

Keywords: paid leave, family leave, employment law, Minnesota statute, benefit eligibility, seasonal employment, workforce, labor rights, 1183, house

Transcript Highlights:

• , and program coordinators all in one.
• program.
• I'm also a proud graduate of Westfield State University's social work program.
• managers, assistant program managers and district managers.
• Tim Mott was an assistant program director.

Keywords: 995, all

Summary: The committee heard testimony on several retirement and workforce-related bills. House Bill 2980 would place county correctional nurses and certain medical staff into Group 4 retirement. Representative Trino, Middlesex Sheriff Peter Koutoujian, and nurse manager Leanne Cameron argued that correctional nurses work in dangerous, high-stress settings with frequent contact with incarcerated people, high rates of mental illness and substance use in the jail population, and significant workplace violence, and that the change would help recruitment and retention with limited statewide fiscal impact. The committee also heard Senate Bill 210, which would create a commission to study additional regular compensation and annual expenses for members of the General Court. Senator John Keenan said Massachusetts has high leadership stipends compared with other states and argued the current structure can affect independence and public trust. Representative O'Day testified on House Bill 2928 to extend Group 2 retirement to additional Department of Children and Families social workers, and SEIU 509 witnesses described frequent transport of children, crisis response, threats, assaults, and other high-risk duties that they said match Group 2 work. Additional testimony supported House Bill 2943 for DDS service coordinators and supervisors, with witnesses describing home visits in unsafe conditions, transport of vulnerable individuals, direct care during staffing crises, and exposure to violence. House Bill 2899 drew support from the Association of Social Work Boards for social work field placement grants, incentives for supervisors, and expanded retirement benefits for DCF social workers. The committee also heard Senate Bill 2613, a local retirement bill for Salem police officer Kathleen Roachville, who described a severe line-of-duty injury during an arrest involving a combative person in a mental health crisis. Finally, Susan Smith Campbell testified for reclassifying certain DYS administrative officers into Group 2 because of their direct involvement in restraints, assaults, and crisis management. After testimony concluded, the committee adjourned without taking any votes.

Transcript Highlights:

• are programs are um programs that are programs are um programs that are provided<00:11:01.680>
• programs there.
• , so that's the foster care programs as well as family child care, making sure that we have consistent
• , so that's the foster care programs as well as family child care, making sure that we have consistent
• > and assistance program that CCAP program and assistance program that CCAP program and created<00

Keywords: 1183, house

Transcript Highlights:

• As the Senator mentioned, we spend $240 million today for these drugs in the Medicaid program, specifically
• for those with... ...for these drugs in the Medicaid program, specifically for those with both obesity
• I believe there is an amendment. ...for the birth, fostering, and adoption of a new child.
• We heard from foster parents waiting for adoption to legally take leave to prepare for a child.
• I'm a surgical oncologist, and I am medical director of the rare cancer program under LCMC Health.

Summary: The House Appropriations Committee met on May 26, 2026, and first took up Senate Bill 433, which would provide Medicaid coverage for certain weight-loss medications. After adopting a House amendment adding customary subject-to-appropriation language, the committee heard from LDH Secretary Bruce Greenstein, who said the state currently spends about $240 million a year on GLP-1 drugs for Medicaid patients with obesity and certain other conditions, and that the bill would let the department expand coverage gradually while controlling costs and negotiating better pricing. Members spoke in strong support, and SB 433 was reported favorable as amended. The committee then considered Senate Bill 157, which creates paid parental leave for eligible public K-12 educators and staff. An amendment was adopted to adjust fund language and make the bill proper for Appropriations. Senator Jenkins and supporters, including the Louisiana Federation of Teachers, described the bill as providing six weeks of paid leave for birth, adoption, fostering, and related family-building events, while members discussed whether medical leave should also be included and confirmed the leave applies to fathers as well. The bill drew broad support and was reported favorable as amended. Senate Bill 250, requiring the Office of Group Benefits to offer a comprehensive weight management plan with employees paying the full premium and medication costs, was briefly discussed and reported favorable without objection. The committee then spent considerable time on Senate Bill 237, a child welfare measure from Senator Barrow that would expand notification, access, and investigative procedures for the Child Ombudsman and DCFS, including child-on-child sexual abuse cases and multidisciplinary fatality reviews. Members and agency officials debated the fiscal note, with estimates ranging from about $525,000 to $3.2 million and disagreement over whether some costs were already covered or could be absorbed; after a roll call, the bill passed 10-9 and was reported favorable as amended. Finally, the committee began Senate Bill 155, which requires insurance coverage for medically necessary dental care tied to cancer treatment. Senator Talbot and medical and cancer advocacy witnesses said the bill would remove a barrier to timely chemotherapy or radiation and could prevent more expensive complications later. Members expressed support and discussed a relatively small fiscal note, but the transcript cuts off before final action on the bill.

Transcript Highlights:

• It does include tribal members in our state, foster care and former foster care youth, those who are
• Second, the food assistance program for legal immigrants, known as FAP, is a state-only program.
• I'm going to talk through the impacts of HR1 on SNAP programs and food assistance programs.
• And then there is what I call a mirrored program, which is the food assistance program.
• paid out for the federal program.

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• consider HB 3305 by Richardson relating to the continuation of healthcare provider participation programs
• home many times they're from foster home to foster home, caseworker to caseworker, different social
• Notre Dame Catholic School, a pillar of faith-based education, has long fostered academic excellence,
• Xavier Millen, who is a participant in the Texas State Legislative Program and a current Texas State
• graduate student in the MPA program.

Transcript Highlights:

• Four of the graduates from our program are now leading Native programs throughout the country, including
• <00:01:36.240> to for the center will expand programs to for the center will expand programs
• from our program are now leading<00:03:58.640> native<00:03:59.040> programs<00:03:59.480
• proof of the E efficacy of our program proof of the E efficacy of our program I've<00:09:45.360>
• It's a solid program.

Keywords: 1187, senate, all

Transcript Highlights:

• He became a leader in his program.
• People in those programs.
• program.
• And as you stated, we transferred our programs over. Do we have any ongoing programs?
• So we can say that step program...

Keywords: 1185, senate, all

Transcript Highlights:

• It has grown from a $1.6 billion program to a $2 billion program in a very short period of time.
• And so, you know, you think about the PCA program, adult foster care, group adult foster care, adult
• So a lot of these LTSS programs are entitlement programs, but is that not true?
• One of the programs that I expect you to see that related to will be the AFC program, which has grown
• foster care is a program where caregivers receive a stipend, and then an agency comes in and provides

Keywords: 995, all

Summary: The subcommittee opened with roll call and approved the November 2025 minutes. Commissioner Charlie Carr then introduced Leslie Darcy, chief of LTSS at MassHealth, who provided an update on the PCA working group and on federal and state budget pressures affecting MassHealth and long-term services and supports. Darcy said the PCA working group had completed its work and submitted recommendations, including reinstating the 66-hour overtime cap, strengthening program integrity, and ending paid paperwork time for EVV users; she said those changes were implemented on 11/26 and were expected to save $7.4 million. She also described additional consensus recommendations to lower the overtime cap from 66 to 60 hours, create a seven-hour weekly meal-prep support limit, and continue exploring benchmarks, though the group could not reach consensus on a benchmark standard. Darcy warned that a federal bill enacted about six months earlier would significantly affect MassHealth, with an estimated $3.5 billion loss to the Commonwealth by 2028. She outlined upcoming changes including revised immigrant eligibility rules in October 2026, work requirements for certain non-disabled adults beginning in January 2027, six-month redeterminations for some adults, and shorter retroactive coverage periods. In response to questions, she said people with disabilities and Medicare beneficiaries would be exempt from the work and six-month redetermination requirements. She also explained that reduced federal ACA subsidies were being offset in Massachusetts by state spending, including $250 million in additional state support to keep premiums lower for middle-income families. Members raised concerns about community hospitals, the health safety net, and the impact of federal funding changes on provider rates and uncompensated care. Darcy said restrictions on provider taxes would limit MassHealth’s ability to use those revenues to support rates, and she noted a current $300 million shortfall in the health safety net. She said FY27 would likely include a rate freeze, targeted reductions, one-time budget measures, and further work groups to examine programs such as adult foster care, which she said had grown 40% in two years. Carr emphasized that the situation was serious but potentially fluid, and the meeting ended with no further business; the subcommittee agreed to adjourn before the next meeting and noted an upcoming February presentation from the Department of Public Health.